REGISTRATION PLAYER INFORMATION: Last Name: First Name: MI: Street: City: State: —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code: Gender : —Please choose an option—MaleFemale Birthday: —Please choose an option—010203040506070809101112 —Please choose an option—01020304050607080910111213141516171819202122232425262728293031—Please choose an option—1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 School Name: Mother's Name: Cell: Father's Name: Cell: Mother's Email: Father's Email: EMERGENCY INFORMATION: Players Physician Last Name: Players Physician First Name: Medical Conditions and Allergies In an Emergency when parents cannot be reached, please contact: Phone: Relationship to Player Terms & Conditions I, the parent/guardian of the registrant, a minor, agree that the registrant, a minor, and I abide by the rules of SSC, it’s affiliated organizations and sponsors. Recognizing the possibility of the physical injury associated with soccer and in consideration for the SSC and it’s affiliates accepting the registrant for it’s soccer programs, and activities. I hereby release, discharges and/otherwise indemnify SSC, it’s affiliated organizations, sponsors, their employees and associated personnel, including the owners of the fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the programs and/or being transported to or from the same, which transportation I hereby authorize. My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs. I hereby give my consent to have an athletic trainer, emergency personnel, and or/treatment and agree to be responsible financially for the reasonable cost of such assistance and or/treatment. I hereby agree to disclose, in writing, all medical conditions, including allergies, listed on the registration form to my child’s coaches and managers. REGISTRATION AND MONTHLY FEES: A $150 registration fee is due at sign up (non-refundable) PAYMENT INFORMATION: Monthly tuition fee is $180 per month (non-refundable) *Monthly fees will be due on the 4th and late payment after the 7th will be $75. Credits or refunds not given for rainy, cold, hot or other weather conditions. PAYMENT OPTIONS: Cash and Checks: Accepted on the field Credit Cards: accepted on the field and at www.sportingsocal.com (3% processing fee will be added) Auto Payment Option: Availble through Card Connect (See Coach John for more info) Pay Pal: Send payments to Sportingsocal@yahoo.com (use friend option to avoid 3% processing fee) Bank of America or Zelle: send payments to sportingsocal@yahoo.com Venmo: Find us @sportingsocal Parent Conduct and Expectations: -Will ensure my child is on time to practice and the games. -Notify the academy if my child will miss one or more week of practice -Will ensure my child brings his or her soccer ball and water to practice -Will ensure my child wears his or her academy issued uniforms and socks to each practice and game -Pay all monthly fees by the first of the month and no later than the 5th of each month. Pay all uniform, league, and tournament fees on time. -Give permission for photos of my child to be posted on Facebook, Instagram and other Social Media sites -Be a good winner, show respect/class, celebrate respectfully -Be supportive of the team, my child, the coaches and the other players in our club -Show respect to coaches, referees, teammates, opponents, parents and spectators -Exhibit good sportsmanship at all times; before, during and after games; whether our team wins or loses -Not coach or referee from the sideline. (Yelling instructions confuses the players) -Let the players play, the coaches coach and the referee officiate -Not use tobacco, alcohol or illegal drugs at the soccer fields -Sporting So-Cal players are not allowed to practice or play games with any other soccer clubs. To receive extra training, please speak to your child’s Coach about setting up private training sessions or contact Coach John for recommendations regarding extra training options. -SSC players are not allowed to play in two clubs at the same time. No exceptions. -We do not offer refunds for rain outs and hot days. Make up practices for rain outs or hot weather or other weather related cancellations are not guaranteed -The club takes two weeks off in the summer and two weeks off in the winter. Full monthly payments are still due for those months. *Not following any of the above rules will lead to my child being expelled from the academy. I agree Print Name of Parent/Guardian Date: Δ